Anticonvulsants for the Treatment of Low Back Pain and Lumbar Radicular Pain

Approximately 25–30% of patients with chronic low back pain have a neuropathic component, most usually chronic lumbar radicular pain. Distinguishing between radicular and pseudoradicular syndromes in low back pain may have some clinical relevance but in practice is difficult to achieve. A neuropathic component in low back pain can be identified through a combination of verbal descriptors and thorough clinical examination including evoking nerve root tension signs or dural irritation (e.g. straight leg raise). There is poor correlation between radiologic imaging and clinical symptoms....

Download Full-text

Effectiveness of Paravertebral Ozone Therapy in Individuals with Low Back Pain with or without Radicular Pain: A Systematic Review

10.29011/2576-957x.100028 ◽

2020 ◽

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Radicular Pain ◽

Low Back ◽

Ozone Therapy

Download Full-text

Faculty of 1000 evaluation for Lateral parasagittal versus midline interlaminar lumbar epidural steroid injection for management of low back pain with lumbosacral radicular pain: a double-blind, randomized study.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718016059.793478414 ◽

2013 ◽

Author(s):

Jan Jakobsson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Steroid Injection ◽

Randomized Study ◽

Radicular Pain ◽

Epidural Steroid Injection ◽

Low Back ◽

Double Blind ◽

Epidural Steroid

Download Full-text

EFFECTIVENESS OF EPIDURAL STEROID INJECTION FOR THE MANAGEMENT OF CHRONIC LOW BACK PAIN.

10.36106/2536610 ◽

2021 ◽

pp. 52-54

Author(s):

Ravi Ranjan Singh ◽

Bharat Singh

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Steroid Injection ◽

Lumbar Disc ◽

Radicular Pain ◽

Epidural Steroid Injection ◽

Low Back ◽

Herniated Lumbar Disc ◽

Epidural Steroid

INTRODUCTION: Low-back pain is a common clinical presentation of herniated lumbar disc. The incidence of low back pain is high in our country due to difcult working and living environment. The initial treatment of low back pain is conservative. Epidural steroid injection (ESI) is being slowly established as a simple, effective and minimally invasive treatment modality. The aim of this study is to assess the effectiveness of epidural steroid injection for low back and radicular pain. MATERIALS AND METHODS :This is a Prospective observational study. It was carried out on the patients presenting with low back pain due to herniated lumbar disc not responding to conservational management and had Magnetic Resonance Imaging (MRI) proven lumbar disc prolapsed at different level. Injection Methyl prednisolone 80 mg and 2 ml of 0.5% bupivacaine was diluted in 8 ml of normal saline and injected into the affected lumbar epidural space. The functional status of the patient and the severity of pain were evaluated before injection and after injection during the follow-up period by using Ostrewy disability index and visual analogue score. RESULTS: Fifty six patients received the epidural steroid injections, among them three patients did not came for regular follow up till six months and six patients required surgery . remaining forty seven were analyzed , among them 27(55.44%) were male and 20(42.55%) were female. The functional status and pain response of the patients were improved signicantly during all the follow-up periods (p < 0.001). The success rate of this study was 83.92%. No major complications were encountered. CONCLUSION:The ESI is a simple, safe, effective and minimally invasive modality for the management of lumbar radicular pain.

Download Full-text

Prévalence De La Douleur Neuropathique Chez Des Patients Souffrant De Lomboradiculalgie Commune En Consultation Rhumatologique À Lomé (Togo)

European Scientific Journal ESJ ◽

10.19044/esj.2017.v13n24p267 ◽

2017 ◽

Vol 13 (24) ◽

pp. 267

Author(s):

Kodjo Kakpovi ◽

Komi Cyrille Tagbor ◽

Eyram Fianyo ◽

Agbeko Komlan Doleagbenou ◽

Kokou Mensah Guinhouya ◽

...

Keyword(s):

Neuropathic Pain ◽

Low Back Pain ◽

Back Pain ◽

Past History ◽

Cross Sectional Study ◽

Radicular Pain ◽

Low Back ◽

Cross Sectional ◽

Study Results ◽

History Of

Objective: To determine the prevalence and factors associated with neuropathic pain in patients with non-specific low back pain. Methods: This was a cross-sectional study conducted from May to July 2016 in the Rheumatology, Neurology and Neurosurgery departments of Lome. The DN4 questionnaire was used for the diagnosis of neuropathic pain in the 200 patients with low back pain included in this study. Results: Of the 200 patients (147 women and 53 men) included in the study, neuropathic pain was present in 92 (46%). The average age of the 92 patients (67 women vs 25 men, p = 0.04) was 55.5 ± 12.4 years (women 55.2 ± 12.8 vs. men 54.6 ± 11.4, p = 0.5). The characteristics of neuropathic pain mainly found were: burning sensation (n = 67, 72.8%); electrical discharges (n = 64, 69.6%); tingling (n = 90; 97.8%); tickling (n = 57; 62%); numbness (n = 89; 96.7%); hypoesthesia (n = 52; 56.5%). Factors significantly associated with the presence of neuropathic pain in LBP were age (p = 0.005), duration of LBP (p = 0.04), high blood pressure (p = 0.001), radicular pain (p = 0.00002) and the past history of the LBP (0.000000). Conclusion: Neuropathic pain is common in patients with LBP at Lome. The duration of LBP, past history of LBP, previous NSAID use, BMI, pain severity and radicular pain appear to be predictive of the occurrence of these neuropathic pains.

Download Full-text